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Treatment Tracker

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $234 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
962
Rank: 118th
out of 2,169 providers in this state & specialty
Services
Performed
11,902
Rank: 37th
out of 2,169 providers in this state & specialty
Avg Services
Per Patient
12.4 This Provider is in the top 10%
Avg 5
Total Paid
by Medicare
$265K
Rank: 106th
out of 2,169 providers in this state & specialty
Avg Paid
Per Patient
$276 This Provider
Avg $234

Office Visits

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Top Billing

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Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Gayland O. Hethcoat
Average for Internal Medicine Providers in Virginia

Who Patients See Before and After This Provider

Providers often refer their patients to a small network of other providers and organizations. Here’s who patients saw the most patients within 30 days before or after this provider, from Jan. 2012 to June 2013.

Individuals

ANDREW SCHWENTKER

DAVID SNOW

MELANIE MATTSON

KYLE YOUNG

DAVID HARRY

Organizations

WINCHESTER MEDICAL CENT...

PIEDMONT JOINT VENTURE ...

Patients saw before

Gayland O. Hethcoat

Patients saw after

This Provider's Services

This provider performed 36 different services in 2012
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
CARDIOVASCULAR SYSTEM

Insertion of needle into vein for collection of blood sample +

Insertion of needle into vein for collection of blood sample ×

Service Code: 36415
Performed in an office
2,171
times performed,
18% of his services

1st 4th

most performed service for this provider most performed service in this state & specialty

634
patients got this service, 66% of his patients
3.4
average number of visits a patient made for this service
(Peers: 2.2)
$8,684an average of $4 per time performed $6,513
an average of $3 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
1,531
times performed,
13% of his services

2nd 1st

most performed service for this provider most performed service in this state & specialty

525
patients got this service, 55% of his patients
2.9
average number of visits a patient made for this service
(Peers: 2.2)
$160,755an average of $105 per time performed $104,108
an average of $68 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
1,339
times performed,
11% of his services

3rd 12th

most performed service for this provider most performed service in this state & specialty

536
patients got this service, 56% of his patients
2.5
average number of visits a patient made for this service
(Peers: 1.6)
$53,560an average of $40 per time performed $18,746
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85025
Performed in an office
1,248
times performed,
10% of his services

4th 9th

most performed service for this provider most performed service in this state & specialty

505
patients got this service, 52% of his patients
2.5
average number of visits a patient made for this service
(Peers: 1.7)
$31,200an average of $25 per time performed $13,728
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
790
times performed,
7% of his services

5th 8th

most performed service for this provider most performed service in this state & specialty

141
patients got this service, 15% of his patients
5.6
average number of visits a patient made for this service
(Peers: 6.7)
$12,640an average of $16 per time performed $3,950
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
694
times performed,
6% of his services

6th 27th

most performed service for this provider most performed service in this state & specialty

443
patients got this service, 46% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$29,842an average of $43 per time performed $16,656
an average of $24 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
580
times performed,
5% of his services

7th 11th

most performed service for this provider most performed service in this state & specialty

404
patients got this service, 42% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$23,200an average of $40 per time performed $7,540
an average of $13 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
504
times performed,
4% of his services

8th 23rd

most performed service for this provider most performed service in this state & specialty

234
patients got this service, 24% of his patients
2.2
average number of visits a patient made for this service
(Peers: 1.8)
$16,128an average of $32 per time performed $6,552
an average of $13 per time performed
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
383
times performed,
3% of his services

9th 49th

most performed service for this provider most performed service in this state & specialty

311
patients got this service, 32% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$4,213an average of $11 per time performed $1,532
an average of $4 per time performed
MEDICINE

Routine electrocardiogram (ekg) using at least 12 leads w... +

Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report ×

Service Code: 93010
Performed in a facility
258
times performed,
2% of his services

10th 7th

most performed service for this provider most performed service in this state & specialty

228
patients got this service, 24% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$6,192an average of $24 per time performed $1,806
an average of $7 per time performed
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
220
times performed,
2% of his services

11th 5th

most performed service for this provider most performed service in this state & specialty

118
patients got this service, 12% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.1)
$22,000an average of $100 per time performed $17,380
an average of $79 per time performed
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
199
times performed,
2% of his services

12th 3rd

most performed service for this provider most performed service in this state & specialty

96
patients got this service, 10% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.6)
$14,129an average of $71 per time performed $10,746
an average of $54 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
189
times performed,
2% of his services

13th 13th

most performed service for this provider most performed service in this state & specialty

188
patients got this service, 20% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,725an average of $25 per time performed $4,347
an average of $23 per time performed
TEMPORARY CODES

Influenza virus vaccine, split virus, for intramuscular u... +

Influenza virus vaccine, split virus, for intramuscular use (agriflu) ×

Service Code: Q2034
Performed in an office
188
times performed,
2% of his services

14th 165th

most performed service for this provider most performed service in this state & specialty

188
patients got this service, 20% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,760an average of $20 per time performed $2,820
an average of $15 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in an office
172
times performed,
1% of his services

15th 24th

most performed service for this provider most performed service in this state & specialty

91
patients got this service, 9% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.3)
$24,080an average of $140 per time performed $15,480
an average of $90 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
168
times performed,
1% of his services

16th 17th

most performed service for this provider most performed service in this state & specialty

79
patients got this service, 8% of his patients
2.1
average number of visits a patient made for this service
(Peers: 3.1)
$3,528an average of $21 per time performed $2,352
an average of $14 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
133
times performed,
1% of his services

17th 2nd

most performed service for this provider most performed service in this state & specialty

107
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.3)
$9,310an average of $70 per time performed $6,650
an average of $50 per time performed
PATHOLOGY AND LABORATORY

Cholesterol level

Service Code: 82465
Performed in an office
124
times performed,
1% of his services

18th 171st

most performed service for this provider most performed service in this state & specialty

113
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$1,860an average of $15 per time performed $496
an average of $4 per time performed
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
116
times performed,
0.97% of his services

19th 99th

most performed service for this provider most performed service in this state & specialty

109
patients got this service, 11% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$2,900an average of $25 per time performed $928
an average of $8 per time performed
PATHOLOGY AND LABORATORY

Creatinine level to test for kidney function or muscle in... +

Creatinine level to test for kidney function or muscle injury ×

Service Code: 82570
Performed in an office
116
times performed,
0.97% of his services

20th 71st

most performed service for this provider most performed service in this state & specialty

109
patients got this service, 11% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,972an average of $17 per time performed $812
an average of $7 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
108
times performed,
0.91% of his services

21st 29th

most performed service for this provider most performed service in this state & specialty

76
patients got this service, 8% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$3,780an average of $35 per time performed $1,296
an average of $12 per time performed
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
104
times performed,
0.87% of his services

22nd 81st

most performed service for this provider most performed service in this state & specialty

104
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,600an average of $25 per time performed $1,144
an average of $11 per time performed
PROCEDURES

Colorectal cancer screening; fecal occult blood test, imm... +

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ×

Service Code: G0328
Performed in an office
94
times performed,
0.79% of his services

23rd 134th

most performed service for this provider most performed service in this state & specialty

94
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,350an average of $25 per time performed $1,974
an average of $21 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
89
times performed,
0.75% of his services

24th 15th

most performed service for this provider most performed service in this state & specialty

75
patients got this service, 8% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$9,345an average of $105 per time performed $7,120
an average of $80 per time performed
PROCEDURES

Prostate cancer screening; prostate specific antigen test... +

Prostate cancer screening; prostate specific antigen test (psa) ×

Service Code: G0103
Performed in an office
64
times performed,
0.54% of his services

25th 84th

most performed service for this provider most performed service in this state & specialty

64
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,904an average of $61 per time performed $1,536
an average of $24 per time performed
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
46
times performed,
0.39% of his services

26th 59th

most performed service for this provider most performed service in this state & specialty

46
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,150an average of $25 per time performed $1,058
an average of $23 per time performed
MEDICINE

Vaccine for pneumococcal polysaccharide for injection ben... +

Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older ×

Service Code: 90732
Performed in an office
46
times performed,
0.39% of his services

27th 60th

most performed service for this provider most performed service in this state & specialty

46
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,300an average of $50 per time performed $2,254
an average of $49 per time performed
MEDICINE

Injection beneath the skin or into muscle for therapy, di... +

Injection beneath the skin or into muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
43
times performed,
0.36% of his services

28th 34th

most performed service for this provider most performed service in this state & specialty

23
patients got this service, 2% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2.9)
$1,075an average of $25 per time performed $731
an average of $17 per time performed
PATHOLOGY AND LABORATORY

Ldl cholesterol level

Service Code: 83721
Performed in an office
42
times performed,
0.35% of his services

29th 66th

most performed service for this provider most performed service in this state & specialty

36
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$1,260an average of $30 per time performed $546
an average of $13 per time performed
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
34
times performed,
0.29% of his services

30th 16th

most performed service for this provider most performed service in this state & specialty

33
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,360an average of $40 per time performed $442
an average of $13 per time performed
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
30
times performed,
0.25% of his services

31st 104th

most performed service for this provider most performed service in this state & specialty

18
patients got this service, 2% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.5)
$540an average of $18 per time performed $120
an average of $4 per time performed
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
23
times performed,
0.19% of his services

32nd 46th

most performed service for this provider most performed service in this state & specialty

20
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$989an average of $43 per time performed $299
an average of $13 per time performed
PROCEDURES

Annual wellness visit; includes a personalized prevention... +

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ×

Service Code: G0438
Performed in an office
16
times performed,
0.13% of his services

33rd 53rd

most performed service for this provider most performed service in this state & specialty

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,800an average of $175 per time performed $2,624
an average of $164 per time performed
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85027
Performed in an office
14
times performed,
0.12% of his services

34th 48th

most performed service for this provider most performed service in this state & specialty

13
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$280an average of $20 per time performed $126
an average of $9 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 4... +

New patient office or other outpatient visit, typically 45 minutes ×

Service Code: 99204
Performed in an office
13
times performed,
0.11% of his services

35th 57th

most performed service for this provider most performed service in this state & specialty

13
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,080an average of $160 per time performed $975
an average of $75 per time performed
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
13
times performed,
0.11% of his services

36th 44th

most performed service for this provider most performed service in this state & specialty

13
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$221an average of $17 per time performed $13
an average of $1 per time performed

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2013 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

Notes: This provider has a self-reported specialty of "Internal Medicine." In some cases the self-reported specialty may differ from the specialty listed above, which comes from Medicare. Medicare redacted this data for any services provided to fewer than 11 patients.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org. Here's a link to Medicare's data on this provider.


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